Individual
JAMIE N TRIBO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1423 N JEFFERSON AVE STE B100, SPRINGFIELD, MO 65802-1917
(417) 269-8817
Mailing address
1423 N JEFFERSON AVE STE B100, SPRINGFIELD, MO 65802-1917
(417) 269-8817
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2012020335
MO
Other
Enumeration date
06/27/2012
Last updated
06/27/2012
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